Tyrer 1998.
Methods | Allocation: randomised, sealed envelopes. Blindness: single (researchers). Follow up: 12 months. | |
Participants | Diagnosis: schizophrenia (86), bipolar affective disorder (20), depressive disorder (24), other (25) (DSM‐III, ICD‐10, OPCRIT). History: >1 admission in last 3 years. N=155*. Age: range 16‐65 years. Setting: urban. | |
Interventions | 1. 'Community team': multidisciplinary community based team, treatment at home\other appropriate setting. N=82. 2. Standard hospital treatment: care plans & reviews organised from hospital base. N=73. |
|
Outcomes | Death**.
Hospital admission.
Leaving the study early.
Days in hospital.
Police contacts. Unable to use ‐ Mental state: BAS, CPRS, HADS, MADRAS (no SD). Social Function: SFQ (no SD). Global assessment: GAF (no SD). Costs of care. (no usable data). |
|
Notes | * Randomisation at point of discharge from hospital.
** 1 accidental death considered 'suspicious circumstances' for this review.
Contact reviewer = trial author. No data collected on patient satisfaction. |
|
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Allocation concealment (selection bias) | Unclear risk | B ‐ Unclear |
General F1 psychosis = Medical Subject Heading Codes. ICD‐10 = 10th revision of the International Classification of Diseases. OPD = Out patient department. SCL ‐ Syndrome Check List SCALES
Mental state BAS = Brief Rating Scale for Anxiety. BPRS = Brief Psychiatric Rating Scale. CPRS = Comprehensive Psychpathological Rating Scale. MADRAS = Montgomery and Asberg Depression Rating Scale. OPCRIT = Operational Criterea for diagnosing Severe Mental Illness. PEF = Psychiatric Evaluation Form. PSE = Present State Examination (to measure clinical symptoms).
Family buden FEF = Family Evaluation Form.
Functioning GAF = Global Assessment of Functioning HSRS = Health Sickness Rating Scale (to measure a persons functioning). PEF = Psychiatric Evaluation Form. SFQ = Social Functioning Questionaire. SFS = Social Functioning Schedule.